HomeMy WebLinkAbout265 CHINQUAPIN AVE; ; 64-7913; PermitCITY OF CARLSBAD
BUILDING DEPARTMENT 9 PLUMBING
PERMIT - APPLICATION
OWNER
ADDRESS £**
PLUMBER
ADDRESS
TEL NO
STATE
LICENSE NO CARLSBAD BUSINESS
LICENSE NO
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ITEM
TOILET
BATH TUB
SHOWER
WASH BASIN
KITCHEN SINK
DISHWASHER
LAUNDRY TUB o
@ $1 25
@ 1 25
@ I 25
@ 1 25
@ 1 25
@ 1 25
TRAY @ 1 25
AUTOMATIC WASHER @ 1 25
WA~ER HEATER &
GAS SYSTEM 1 TO
3O EA ADD
VENT @ 1 5O
15
@ 1 SO
FLOOR DRAIN OR SINK @ 1 25
LAWN SPRINKLER @ 2 OO
MISC WATER PIPING @ 1 5O
GARBAGE DISPOSAL @ 1 OO
VACUUM BREAKER OR BACK
FLOW DEVICES I TO 5 @ 2 OO
GRADING PLAN
YES fj NO FJ
PERMIT $
TOTAL FEE $
FEE
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1
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2
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I ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMP-Y WITH AL_ CITY ORDINANCES AND STATE LAWS
REGULATING PLUMBING
I CERTIFY TH/*T I AM PROPERLY REGISTERED AND LI
CENSED AS REQUIRED BY THE CITY OF CARLSBAD AND
STATE OF CA IFORNIA OR THAT I AM THE LEGAL OWNER
OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE , ,—
oari? 64 ¥irzo29*******l 75
GROUP ZONE
Inspection Record
APPROVALS
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC
GAS TEST
UTILITY CO NOTIFIED
FINAL
DATE INS ECTOR S SIGNATURE
VALIDATION
This is a Plumbing Permit When Properly Filled Out Signed and Validated
Permit void if work is not commenced within 60 days of date of issuance